Cherokee Pediatric Associates, LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

23503 Issued in SC

Legal business name

CHEROKEE PEDIATRIC ASSOCIATES, LLC

Doing business as

Carolina Pediatric Associates

Practice address

1610 B North Limestone St
Gaffney, SC 29340-2312

Phone

(864) 839-4325

Fax

(864) 839-9901

NPI assigned

Jan 23, 2007

Last updated

Feb 25, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Daren Edward Carling, MDNPI 1164495594

Title

Owner

Phone

(864) 839-4325

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carolina Pediatric Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841344280. Details of each certification follow.

• CCN 428979 Rural health clinic · Active · Details

Rural health clinic certification: CCN 428979

Legal name

CHEROKEE PEDIATRIC ASSOCIATES, LLC

Doing business as

CAROLINA PEDIATRIC ASSOCIATES

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Jan 4, 2006

Last certification

Aug 29, 2024

Ownership / control type

1B

Organization structure

LLCProprietary

Incorporated

Dec 31, 2023 in SC

Enrollment address

1610B N Limestone St
Gaffney, SC 29340-2312

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Cherokee Pediatric Associates, LLC

  dba Carolina Pediatric Associates

  • Rural Health Clinic/Center
  • Blacksburg, SC
  • NPI 1730233172

  2062442940

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Carolina Pediatric Associates4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Cherokee Pediatric Associates

  dba Carolina Pediatric Associates

  • Preferred Provider Organization
  • Blacksburg, SC
  • NPI 1811960248
  NPD tax ID
• Cherokee Pediatric Associates, LLC

  dba Carolina Pediatric Associates

  • Rural Health Clinic/Center
  • Blacksburg, SC
  • NPI 1730233172
  NPD tax ID
• Cherokee Pediatrics

  dba Carolina Pediatric Associates

  • Preferred Provider Organization
  • Gaffney, SC
  • NPI 1962809509
  NPD tax ID

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daren E Carling, M.D.

  • Pediatrics Physician
  • Blacksburg, SC
  • NPI 1164495594
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1841344280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W PINE ST",
            "city": "BLACKSBURG",
            "state": "SC",
            "postal_code": "297021549",
            "telephone_number": "864-839-4325",
            "fax_number": "864-839-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 B NORTH LIMESTONE ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293402312",
            "telephone_number": "864-839-4325",
            "fax_number": "864-839-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEROKEE PEDIATRIC ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "CARLING",
        "authorized_official_first_name": "DAREN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-839-4325",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "SC",
            "license": "23503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHC158",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Pediatric Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cherokee Medical Center (CMC-Center for Ob/Gyn)
• Cherokee Medical Center (Filter... CMC-Center for Family Medicine-Peachview)
• Cherokee Medical Center (CMC-Center for Pediatrics)
• Cherokee Medical Center (CMC-Immediate Care Center-Gaffney)
• Cherokee Medical Center (CMC-Center for Internal Medicine)
• Cherokee Pediatrics (Carolina Pediatric Associates)
• Cherokee Rehabilitation
• Cherokee Women's Center, PA
• Chiropractic Wellness Inc (Radcliff Family Chiropractic)
• Tyrone Lendall Claytor, PHARM.D.

• Rural Health Clinic/Center in Gaffney, SC
• Providers in Gaffney, SC by specialty
• Rural Health Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.